Member Discount Enquiry - Provider Application Offer details Question Title * 1. Business Name (Trading as) Question Title * 2. Main Contact Name Email Address Phone Number Question Title * 3. Business Website Question Title * 4. Do you or your company have any connections with Police?* Yes No If Yes, please explain the connection to Police. Question Title * 5. Please provide a short summary of your business. For example; how long has it been operating, are there plans for expansion, who owns the business, is it part of a national chain etc.* Question Title * 6. Does your discount help our members with their day to day living costs? This includes food, clothing, household goods or any other living costs associated with their day to day lives? Yes No Question Title * 7. Discount you would like to offer our members. Please note most current providers provide a discount of around 20% Question Title * 8. Is this offer be available to members' nationwide? Yes No If no, please advise which area(s) the offer will be available? Question Title * 9. How would members access the offer?* Instore Online Instore & Online Question Title * 10. Who does the offer apply to? Members only Members & immediate family Question Title * 11. What are the terms and conditions of the offer? Done